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JCookPT
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Very nice article too. Prior to reading the Chicago Tribune article you posted, my biggest concern with the bumbo was the orientation of the pelvis, and how the child fit in it as their claims are not what you see with the child with no active pelvis (Which @KendraPedPT addressed in her article as well (going on memory here), probably not so much with children who are behind developmentally, but I will get to that in a second). With the child who is learning to sit, their time prior to independent sitting where the pelvis is active is limited, making the amount of time that the bumbo is useful pretty limited (IMHO). I do find however, there are some cases, particularly with the child who has severe plagiocephaly, where I am trying to find different ways to get them off of the back of their head. Obviously prone and supine with the head rotated to the opposite direction, etc still can not be enough time for some. In addition, the ability for the weight of the brain on the posterior skull to weigh down the occipital bone in these positions also isn't enough, (and to be honest, even though I have been taught this I am not sure how much the weight of the brain truly benefits in restructuring) but every bit needs to be considered. A high chair is an option, but if reclined, a flat head on a flat high chair doesn't necessarily work well either ( still better than direct weight in supine). For kids who are borderline close to sitting, I will often be asked about their bumbo, and this is where I get into the "I will talk about this later". We need to assess the child in the position before recommending this and any other product, especially if we are dealing with a child with atypical development. Each child will look differently depending on their body type, muscle tone, pelvic tilt, etc. and for some, where the importance is in getting them off the back of their head, this might be a "short duration" alternate position. I also agree that children often need a blanket to help them out of the well of the seat. I also agree that the posterior weight shift of the deep well can facilitate spinal flexion for those who can't gain the active pelvis to get out of it- leading to the typical extensor thrust seating posture that we avoid. All in all, I feel that both of your posts, meaning yours and @KendraPedPT had good points (which is why I find writing on the Internet so difficult, because what you want to say to one patient type, doesn't work for another). Thank you to those who have engaged in this dialogue, including you. I enjoy reading (and learning) from you.
Toggle Commented Mar 16, 2012 on Bumbo Seat Product Review at TherExtras
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Mar 15, 2012